Articles and Blogs

On November 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that calls for Medicare-certified and Medicaid-certified nursing homes (“LTC Facilities”) to electronically report information on acute respiratory illnesses, including influenza (“flu”), severe acute respiratory syndrome coronavirus 2 (“SARS-CoV-2”)/coronavirus 2019 (“COVID”) and respiratory syncytial virus (“RSV”). Effective Date... READ MORE

On November 5, 2024, the Centers for Medicare & Medicaid Services (“CMS”) extended the due date to complete and submit the new Form CMS-855A SNF Disclosures Attachment for every Skilled Nursing Facility (“SNF”). CMS announced that regardless of when the SNF received its notice of revalidation letter from its MAC (i.e., October, November or... READ MORE

What is a Marketability Act? A regular nightmare for any practitioner representing sellers, buyers or borrowers in real estate transactions is receiving a title commitment for the subject property, only to find exceptions to the title that contain deed restrictions or development agreements from 50 years ago to which the buyer or lender will... READ MORE

On October 14, 2024, Plaintiffs representing a class of health care providers for In Re Blue Cross Blue Shield Antitrust Litigation reached a settlement agreement against the Blue Cross Blue Shield Association and its member companies (“BCBS”) for allegations of suppressing competition and underpaying providers. BCBS will pay $2.8 billion to a Settlement Fund... READ MORE

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. The health care sector, and addiction treatment providers in particular, face heightened scrutiny due to the high volume of claims and the vulnerability of patient populations, particularly those in... READ MORE

NATIONAL AHA opposes CMS nursing home staffing rule: 5 notes AMA files lawsuit alleging price-fixing by MultiPlan American Medical Association President: Rural doctor shortage ‘already here’ CVS expands MinuteClinic primary care services Elevance, Cigna, CVS accelerate push into specialty pharmacy FTC drills down on cross-market hospital mergers How a group of clinicians launched a... READ MORE

Tenet Health has sold 14 hospitals this year for more than $4.8B, according to its third-quarter earnings call. Tenet sold the following: 1) an interest in five Alabama hospitals to Orlando Health, 2) three hospitals in South Carolina to Novant Health, 3) four California hospitals to UCI Health, and 4) two California hospitals to... READ MORE

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework. Hall Render’s PE team of attorneys and advisors leverage... READ MORE

The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursing home residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo, “Compliance with Residents’ Rights requirement related to Nursing Home Residents’ Right to Vote.” CMS reminds nursing homes of the regulatory expectations that residents of nursing homes... READ MORE

NATIONAL 3 federal moves to address rural healthcare gap 340B purchases hit $66.3B in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana... READ MORE